宫腹腔镜治疗妇科不孕症患者手术室护理效果分析

Analysis of the Nursing Effect of Hysteroscopy in the Operating Room of Patients with Gynecological Infertility

目的研究宫腹腔镜在治疗妇科不孕症患者中手术室护理的效果。方法现择取2019年3月—2020年3月该院收治的84例不孕症宫腹腔镜手术患者作为研究对象,随机分为研究组与对照组,每组42例。给予研究组患者采用手术室护理,对照组采用传统护理。比较两组患者的护理效果。结果研究组患者的手术时间、术中出血量、住院时间及肛门排气时间分别为(70.34±2.17)min、(81.76±7.66)mL、(5.47±1.07)d、(17.85±3.61)h,对照组为(103.23±2.23)min、(104.32±7.84)mL、(8.64±1.22)d、(27.61±3.43)h,差异有统计学意义(t=68.503、13.339、12.660、12.702,P<0.001);研究组患者护理后的精神健康、社会功能、身体疼痛、生理功能及情感职能评分分别为(84.37±9.43)分、(82.15±7.84)分、(84.23±9.67)分、(82.52±8.74)分、(86.77±7.38)分明显优于对照组的(62.67±9.64)分、(64.22±7.72)分、(63.34±8.37)分、(57.35±7.47)分、(67.25±7.29)分,差异有统计学意义(t=10.429、10.561、10.586、14.188、12.195,P<0.001);研究组患者护理后的汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)及汉密顿抑郁量表(Hamilton Depression Scale,HAMD)评分分别为(19.86±2.54)分、(20.31±3.28)分明显优于对照组的(28.73±2.37)分、(31.35±3.27)分,差异有统计学意义(t=16.547、15.448,P<0.001);研究组患者的护理总满意度为97.62%明显优于对照组的78.57%,差异有统计学意义(χ^(2)=7.265,P=0.007)。结论给予宫腹腔镜不孕症妇科患者采用手术室护理,能有效改善其临床指标,效果显著,值得使用。

Objective To study the effect of hysteroscopy in the nursing of patients with gynecological infertility in operating room.Methods A total of 84 infertility patients undergoing laparoscopic surgery in the hospital from March 2019 to March 2020 were selected as the research objects,and they were randomly divided into study group and control group,with 42 patients in each group.Patients in the study group were treated with operating room care,and the control group was treated with traditional care.Compared the nursing effect of the two groups of patients.Results The operation time,intraoperative blood loss,hospitalization time,and anal exhaust time of the study group were(70.34±2.17)min,(81.76±7.66)mL,(5.47±1.07)d,(17.85±3.61)h,the control group was(103.23±2.23)min,(104.32±7.84)mL,(8.64±1.22)d,(27.61±3.43)h,the difference was statistically significant(t=68.503,13.339,12.660,12.702,P<0.001);the mental health,social function,physical pain,physiological function and emotional function scores of the study group after nursing were(84.37±9.43)points,(82.15±7.84)points,(84.23±9.67)points,(82.52±8.74)points,(86.77±7.38)points,significantly better than the control group(62.67±9.64)points,(64.22±7.72)points,(63.34±8.37)points,(57.35±7.47)points,(67.25±7.29)points,the difference was statistically significant(t=10.429,10.561,10.586,14.188,12.195,P<0.001);the Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)scores of the study group after nursing were(19.86±2.54)points and(20.31±3.28)points were significantly better than those of the control group(28.73±2.37)points and(31.35±3.27)points,the difference was statistically significant(t=16.547,15.448,P<0.001);the total satisfaction of nursing care of the study group was 97.62%,significantly better than 78.57%of the control group,the difference was statistically significant(χ^(2)=7.265,P=0.007).Conclusion The use of operating room care for gynecological patients with infertility due to hysteroscopy can effectively improve their clinical indicators,the effect is significant,and it is worth using.